Individual
JOHN H EDGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
660 EXTON CMNS, EXTON, PA 19341-2446
(610) 363-8717
(610) 430-8307
Mailing address
660 EXTON CMNS, EXTON, PA 19341-2446
(610) 363-8717
(610) 430-8307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004574-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007223625 0002
—
PA
Enumeration date
09/20/2006
Last updated
02/01/2011
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